弧形切割吻合器在腹腔镜直肠癌前切除术中的应用

目的 总结弧形切割吻合器(Contour TM)在腹腔镜直肠癌前切除手术中的临床应用价值.方法 2004年11月至2006年6月,对60例患者应用弧形切割吻合器行改良腹腔镜直肠癌前切除术,其中前切除术10例,低位前切除术39例,超低位前切除术11例.结果 60例患者无1例中转开腹,无吻合口瘘和吻合口狭窄.手术时间150-260(平均210)min,术中出血量lO～100(平均80)ml,清扫淋巴结数8～39(平均14.5)枚,无手术死亡病例.术后住院8-11(平均9.2)d,术中、术后无严重并发症发生.结论 弧形切割吻合器在腹腔镜直肠癌前切除术可以达到与常规腹腔镜和开腹直肠癌前切除手术一样的疗效,具有良好的应用价值.

Application of curved cutter stapler in laparscopic anterior resection of rectal carcinoma

Objective To evaluate the curved cutter stapler ContourTM in the laparoscopic anterior resection of rectal carcinoma. Methods Retrospective study was performed on 60 rectal carcinoma patients，using the methods of assisted midiline approach combined with purse-string forceps and curved cutter stapler(Contour TM)，developed enhanced laparoscopic anterior resection of rectal carcinoma.The methods included 14 cases of anterior resection， 39 cases of low anterior resection and 7 cases of ultra-low anterior resection. Results The time of operation was 150-260minutes(average 210 minutes).The volume of blood loss during operation was 10-100 ml(average 60ml).The number of lymph node dissection during the operation was 8～39(average 14.5).The hospital stay after operatidn was 8-10 days(average 8.5 days).All patients had not any serious intraoperative and postoperative complications.Conclusion Enhanced laparoscopic anterior resection of rectal carcinoma can achieve the same effect of regular laparscopic operation and transabdominal operation and can distinctly decrease the operative charge.